15 research outputs found
Mejora de las habilidades y técnicas de interconsulta para el graduado en Odontología a través del Campus Virtual. Fase I: Solicitud de pruebas diagnósticas
El desarrollo de este Proyecto, en esta primera fase, se basa en la práctica simulada del estudiante de Odontología, a través del Campus Virtual, de las técnicas de interconsulta con los diferentes especialistas médicos responsables del paciente a quien deberán solicitar las pruebas que estimen necesarias (analíticas, radiografías, resonancias magnéticas, escáneres, etc.) para planificar el tratamiento odontológico
Colutorios con alcohol y su relación con el cáncer oral: análisis crítico de la literatura
Los colutorios se han usado durante siglos con el fin de proporcionar
salud oral o beneficios cosméticos. Actualmente, en la
mayoría de los países, existe una gran variedad de formulaciones
disponibles para el público general en forma de productos que
precisan prescripción o no.
El alcohol se emplea en los colutorios, en principio, como un
disolvente de otros ingredientes y como un conservante de la
preparación. Se han usado diferentes formulaciones de
colutorios durante años, sin embargo, recientemente se ha expresado
la preocupación sobre si su contenido de alcohol podría
ser una amenaza para la salud. La elevada cantidad de alcohol
en algunos colutorios, así como el hecho de que permanecen
en contacto con la mucosa oral durante más tiempo que
una bebida alcohólica, puede hacer pensar en un efecto nocivo
a partir de un mecanismo local. El enjuague oral aumenta el
tiempo de exposición de la mucosa al alcohol y se ha demostrado
que colutorios con alto contenido en alcohol producen lesiones
hiperqueratósicas tanto en hombres como en animales
de estudio.
Actualmente y con los datos de que disponemos, no se ha podido
establecer una relación causal entre el uso de colutorios con
alcohol y el desarrollo de cáncer oral. Tampoco existen evidencias
de que el alcohol aumente el efecto de los agentes antiplaca
en los colutorios.For centuries, mouthwashes have been used in order to provide us
with oral health or cosmetic benefits. Nowadays, in most countries,
there is a variety of formulas available for the general public in the
form of products which may require prescription or not.
Alcohol is used in mouthwashes as a solvent of other ingredients
and as a preservative of the preparation. For years, different
formulas of mouthwashes have been used, however, the question
about its alcohol content being a threat for health or not has
recently appeared. The high quantity of alcohol in some
mouthwashes combined with the fact that they keep in contact
with the oral mucosa for much more time than alcoholic drinks,
can make us think about a harmful effect from a local
mechanism. Mouthrinses increase the time of the mucosa being
in contact with alcohol and it has been proved that those with a
high content of alcohol do cause hyperkerastosic lesions both
in human beings and laboratory animals.
At the moment and with the data we have, it has not been
possible to establish a causal relationship between the use of
alcohol-containing mouthwashes and the development of oral
cancer. There is neither an evidence of the fact that alcohol
increases the effects of antiplaque agents in mouthwashes
Diagnostic criteria in proliferative verrucous leukoplakia: evaluation
Objectives: to evaluate the ability of the diagnostic criteria proposed by Cerero et al in 2010 to perform an early
diagnose in patients with proliferative verrucous leukoplakia.
Study Design: retrospective study with patients diagnosed with leukoplakia at Oral Medicine Service at Oral
Medicine and Surgery Department at Dentistry Faculty at Universidad Complutense of Madrid.
Results: the criteria were applied in 116 patients, turning positive in 40 cases. Out of these, 24 (60%) had been
previously diagnosed with PVL. Most frequent criteria were major criteria A and E, concerning lesion's site and
histopathology, and minor criteria b and c, concerning sex and smoking habit.
Conclusions: diagnostic criteria developed by Cerero et al can be a useful tool for an early diagnose of PVL, as in
60% of the cases, the criteria would have allowed to make an early diagnose of the disease
Descriptive study of the patients treated at the clinic “Integrated Dentistry for Patients with Special Needs” at Complutense University of Madrid (2003-2012)
Objectives: To study clinical and epidemiological characteristics of the patients treated at the clinic “Integrated
Dentistry for Patients with Special Needs (Special Care Dentistry)” at Complutense University of Madrid (UCM),
as well as to know the dental treatments performed in these patients and the modifications from the usual treatment protocol. The information obtained from the results could also be applied in order to assess the needs of
dental students education about this type of patients.
Study Design: Medical records review of all the patients referred to the clinic of “Integrated Dentistry for Patients
with Special Needs”, performing a retrospective cross-sectional study analyzing their main pathology, ASA risk
score (Classification system used by the American Society of Anesthesiologists to estimate the risk posed by the
anesthesia for various patient conditions), pharmacological treatment, what kind of dental treatment was necessary, whether the patient was treated or not, and if it was required to change any procedure due to the patient health
status (sedation or antibiotic prophylaxis).
Results: The number of patients referred to the clinic was 447, of whom 426 were included in this study. Out of
them, 52,35 % were men and 47,89 were women, with a mean age of 49,20 years. More frequent pathologies were
cardiovascular or cerebrovascular diseases (24,29 %), infectious diseases (12,41%), endocrine diseases (11,66%)
and intellectual disability (8,85%). 70’18% of the patients were treated, with sedation being necessary in 9,03% of
the cases and antibiotic prophylaxis in 11,70%.
Conclusions: Given the high number of patients with some kind of pathology and the amount of medicines that they
use, it seems necessary for dentistry students to have a specific training regarding how to handle and treat these patients, so they will be able to provide them the best possible care
Alpha lipoic acid efficacy in burning mouth syndrome: a controlled clinical trial
Background: A double-blind placebo-controlled trial was conducted in order to evaluate the efficacy of alpha
lipoic acid (ALA) and determine the statistical significance of the outcome variables. Burning mouth syndrome
(BMS) is defined as an oral burning sensation in the absence of clinical signs which could justify the syndrome.
Recent studies suggest the existence of neurological factors as a possible cause of the disease.
Material and Methods: 60 patients with BMS, in two groups: case group with 600 mg/day and placebo as control
group; with follow up of 2 months.
Results: 64% of ALA patients reported some level of improvement, with a level of maintenance of 68.75% one
month after treatment. 27.6% of the placebo group also demonstrated some reduction in BMS symptoms.
Conclusions: Long-term evolution and the intensity of symptoms are variables that reduce the probability of improvement with ALA treatmen
Efectos del consumo de alcohol etílico en la cavidad oral: relación con el cáncer oral
El consumo de bebidas alcohólicas se encuentra asociado desde
un punto de vista epidemiológico con un riesgo aumentado
de desarrollar cáncer del tracto gastrointestinal superior. La realización
de estudios que establezcan esa asociación resulta complicada,
debido tanto a la confluencia de varios factores de riesgo
en una misma persona, por ejemplo alcohol y tabaco, como a la
falta de datos que puedan ser comprobables por el clínico. Por
ello no se conoce con exactitud cual es el mecanismo patogénico
responsable de este aumento de riesgo, ya que el etanol per se
no ha demostrado ser carcinógeno. Se han propuesto distintas
hipótesis que tratan de explicar como el etanol, ya sea por vía
local o sistémica puede actuar como factor de riesgo en el desarrollo
de un cáncer oral. Este trabajo supone una revisión de la
situación actual de los potenciales mecanismos patogénicos,
dividiéndolos en efectos locales y sistémicos. Dentro de los
primeros se hace especial referencia a la alteración de la permeabilidad
de la mucosa oral, a la acción del acetaldehído y al
papel de los retinoidesIn an epidemiologic point of view the consumption of alcoholic
beverages is found to be associated to an increased risk for
developing an upper gastrointestinal tract cancer. The relation
of the studies that establish this connection is complicated due
to both the confluence of various risk factors within the same
person such as alcohol and tobacco, and to the lack of data that
can be verifiable by the clinician. For this reason the exact
pathogenic mechanism responsible for this increase of risk is
not known since ethanol per se was not confirmed to be
carcinogenic. Different hypotheses have been proposed,
explaining how ethanol, by oral or systemic route, can act as a
risk factor for the development of oral cancer. This article serves
as a review of the actual situation of the potential pathogenic
mechanisms, dividing them in local and systemic effects. Within
the aforementioned special reference is made on the alteration
of the oral mucosa permeability, the action of acetaldehyde and
the role of retinoids
Simulation for training in oral cancer biopsy: a surgical model and feedback from GDPs
Objectives: To describe a new bench model for oral precancer/cancer biopsy training and to assess its effectiveness
in terms of trainees' perception.
Study design: Cross-sectional, descriptive, performed on 424 general dental practitioners (GDP) who undertook
biopsies on a pig tongue. The participants were assessed by direct observation for 2.5 hours using specific check-
lists and by means of a self-applied questionnaire.
Results: The workshop was perceived as "very interesting" even by those with previous surgical experience (Xi -
Xj = 0.07; 95%CI= -0.20-0.09). Most GDPs considered themselves able to undertake oral biopsies on real patients
after the workshop. Those who had previously received theoretical continuous education courses on oral biopsy
scored higher values within the group (Xi - Xj = 0.20; 95%CI= 0.04-0.37).
Conclusions: There is a need for including clinical abilities workshops when instructing on oral biopsy techniques.
More studies are needed to validate the procedure and to address cognitive and communication skills
Utilización de encuestas online sobre casos clínicos reales para la enseñanza del manejo odontológico de pacientes con problemas médicos
Depto. de Especialidades Clínicas OdontológicasFac. de OdontologíaFALSEsubmitte
Evaluación del aprendizaje según dos métodos de enseñanza diferentes: clase tradicional frente a aprendizaje basado en problemas cortos
Depto. de Especialidades Clínicas OdontológicasFac. de OdontologíaFALSEsubmitte
Aplicación de la herramienta Socrative® para la evaluación en la asignatura "Repercusiones Bucales de las Enfermedades Sistémicas" en los alumnos de Odontología a través de dispositivos móviles. Fase I. Examen tipo test de preguntas dicotómicas
Incorporación de la herramienta interactiva Socrative® para la gestión de la participación de los alumnos y la evaluación rápida en tiempo real por parte del profesor en la asignatura "Repercusiones Bucales de las Enfermedades Sistémicas" en 3er Curso de Grado de Odontología.Se realizan preguntas y los alumnos contestan a través de sus dispositivos móviles, obteniendo un feedback inmediato de sus contestaciones